Operative Management of Rib Synostosis and Malunion: A Case Report.

JBJS Case Connector
Erick M MarigiPeter A Cole

Abstract

We present a complex case of a 56-year-old man with multiple left-sided rib pathology including nonunion, rib heterotopic ossification (HO) forming a rib-to-rib synostosis, and rib malunion. After a major forequarter trauma and failed conservative management, followed by scapula reconstruction and rib recontouring, the surgical resection of the rib synostosis, reconstruction of a rib nonunion, and contouring of rib malunions are described. The patient was followed up clinically for 1 year after the final procedure and demonstrated marked improvement in functional outcome. In the setting of complex forequarter malunion and nonunion, resolution of painful rib nonunion and synostosis can be effectively managed with HO resection and rib reconstruction.

References

Jan 22, 2004·Journal of Shoulder and Elbow Surgery·Kenji TakaharaTadaatsu Miyasaka
Jan 7, 2011·The Journal of Bone and Joint Surgery. American Volume·Paul M LaffertyPeter A Cole
Jul 30, 2014·Injury·Silvana MarascoMichael Bailey
Dec 3, 2014·Journal of Orthopaedic Trauma·Erich M GaugerPeter A Cole
Mar 24, 2016·The Annals of Thoracic Surgery·Zachary E BrewerJoseph B Shrager
Oct 7, 2016·The Journal of Bone and Joint Surgery. American Volume·Lisa K SchroderPeter A Cole
Jan 23, 2017·The Annals of Thoracic Surgery·Kaj Ten Duis, Frank F A IJpma
Aug 20, 2019·Trauma Surgery & Acute Care Open·Elinore Kaufman, Adam Shiroff

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Citations

Jun 13, 2021·BMJ Case Reports·Jonne T H Prins, Mathieu M E Wijffels

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